| NPI | 1669854766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1155) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA L-490) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2023-07-12 |